Post-Anaesthetic Discharge Scoring System to assess patient recovery and discharge after colonoscopy

Table 1 Modified Post-Anaesthetic Discharge Scoring System

Categories	Points
Vital signs
BP and HR ± 20% of pre-endoscopy value	2
BP and HR ± 20%-40% of pre-endoscopy value	1
BP and HR ± 40% of pre-endoscopy value	0
Activity
Steady gait, no dizziness or meets pre-endoscopy level	2
Requires assistance	1
Unable to ambulate	0
Nausea and vomiting
No or minimal/treated with p.o. medication	2
Moderate/treated with parenteral medication	1
Severe/continues despite treatment	0
Pain
Minimal or no pain (Numerical Analogue Scale = 0-3)	2
Moderate (Numerical Analogue Scale = 4-6)	1
Severe (Numerical Analogue Scale = 7-10)	0
Surgical bleeding
None or Minimal (not requiring intervention)	2
Moderate (1 episode of hematemesis or rectal bleeding)	1
Severe (≥ 2 episodes of hematemesis or rectal bleeding)	0
Total score	...
(Patients’ scoring ≥ 9 for two consecutive measurements are considered fit for discharge home)

BP: Blood pressure; HR: Heart rate.

Table 2 Patients characteristics and main results

	Co-group (n = 103)	PADSS-group (n = 104)
Age, mean ± SD, yr	58.45 ± 11.65	57.21 ± 11.6
Gender, M/F	46/57	46/58
ASA class I/II	40/63	41/63
Anxiety level, n
1: none	16	9
2: mild	75	88
3: moderate	10	6
4: severe	2	1
Pain before colonoscopy, mean ± SD	1.9 ± 1.4	1.9 ± 0.6
Recovery time, mean ± SD, minb	95.14 ± 10.85	58.75 ± 18.67
Recovery time < 60 min, n (%)b	0 (0)	39 (37.5)
Early or late severe complications, n	0	0

^bP < 0.001, Post-Anaesthetic Discharge Scoring System (PADSS)-group vs Co-group. ASA: American Society of Anestesiology.

Table 3 Results of post-endoscopy evaluation phone call

	Co-group(n)	PADSS-group (n)
Go back to the hospital	0	0
Problems since discharge	57	32
Abdominal distension (with or without pain)	21	7
Fever	1	2
Pain at the injection site	4	4
Headache	15	4
Nausea and/or vomiting	3	2
Drowsiness or difficult to wake-up	31	22
Weakness	20	19
Did you take drugs for these problems?	2	1

PADSS: Post-Anaesthetic Discharge Scoring System.